TY - JOUR
T1 - Severe veno-occlusive disease after autologous peripheral blood stem cell transplantation for high-grade non-Hodgkin lymphoma: report of a successfully managed case and a literature review of veno-occlusive disease.
AU - Palladino, Michele
AU - Miele, Luca
AU - Pompili, Maurizio
AU - Forgione, Alessandra
AU - Vellone, Valerio Gaetano
AU - Vecchio, Fabio Maria
AU - Chiusolo, Patrizia
AU - Laurenti, Luca
AU - Gasbarrini, Giovanni Battista
AU - Sica, Simona
AU - Grieco, Antonio
PY - 2008
Y1 - 2008
N2 - Veno-occlusive disease (VOD) of the liver is a severe complication of high-dose chemotherapy and allogeneic or autologous stem cell transplantation with potential fatal outcome. We report a case of severe VOD in a patient with a high-grade B-cell lymphoma. Liver-venule occlusion was confirmed by liver biopsy. Supportive care, fibrinolytic treatment with recombinant tissue plasminogen activator and defibrotide maintenance therapy led to complete resolution of VOD demonstrated at liver biopsy and with a follow-up of 44 months after autologous peripheral blood stem cell transplantation. The literature on VOD has been reviewed.
AB - Veno-occlusive disease (VOD) of the liver is a severe complication of high-dose chemotherapy and allogeneic or autologous stem cell transplantation with potential fatal outcome. We report a case of severe VOD in a patient with a high-grade B-cell lymphoma. Liver-venule occlusion was confirmed by liver biopsy. Supportive care, fibrinolytic treatment with recombinant tissue plasminogen activator and defibrotide maintenance therapy led to complete resolution of VOD demonstrated at liver biopsy and with a follow-up of 44 months after autologous peripheral blood stem cell transplantation. The literature on VOD has been reviewed.
KW - non Hodgkin
KW - stem cells transplantation
KW - therapy
KW - veno occlusive disease
KW - non Hodgkin
KW - stem cells transplantation
KW - therapy
KW - veno occlusive disease
UR - http://hdl.handle.net/10807/16050
M3 - Article
SN - 0902-0063
SP - 837
EP - 841
JO - Clinical Transplantation
JF - Clinical Transplantation
ER -